A nurse is caring for a client who is obese. The client is crying and states, "Everyone is staring at me because of my weight." Which of the following responses should the nurse make?

"Let's discuss some weight loss strategies that might work for you."

Have you always felt uncomfortable being overweight?"

"How long have you struggled with your weight?"

“It sounds like you're saying that you feel uncomfortable around others."

Answer and Explanation

The Correct Answer is D

Rationale:

A. "Let's discuss some weight loss strategies that might work for you.": While well-intentioned, this response shifts focus prematurely to problem-solving rather than acknowledging the client's immediate emotional distress. It can come across as dismissive of the client's feelings and reinforce stigma.

B. "Have you always felt uncomfortable being overweight?": This question delves into the client's history without first validating their current emotional state. It may seem intrusive and bypasses the opportunity to provide empathy in the moment.

C. "How long have you struggled with your weight?": This response centers on the weight issue rather than addressing the client’s expressed feelings of being stared at and judged. It risks making the client feel pathologized rather than supported.

D. “It sounds like you're saying that you feel uncomfortable around others.”: This therapeutic response reflects the client's feelings, validates their emotional experience, and encourages further expression. It helps build trust and demonstrates empathy without judgment.

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Correct Answer is A

Explanation

Rationale:

A. “The client exhibits impulsive behavior.” Impulsivity is a hallmark trait of borderline personality disorder (BPD). Clients may engage in risky behaviors such as substance abuse, binge eating, or reckless driving, often in response to emotional instability and fear of abandonment.

B. “The client is overly concerned about minor details.” This behavior is more characteristic of obsessive-compulsive personality disorder, where clients show perfectionism and a rigid adherence to rules, order, and control over details.

C. “The client might act seductively.” Seductive or provocative behavior is commonly seen in histrionic personality disorder. These clients seek attention and approval through exaggerated emotional expression and flirtatiousness.

D. “The client is exceptionally clingy to others.” Clinginess and an excessive need to be taken care of are features of dependent personality disorder. These individuals have difficulty making decisions independently and fear separation or rejection.

A. Fibrinogen level B. aPTT C. INR D. Platelet count

Correct Answer is C

Explanation

Rationale:

A. Fibrinogen level: Fibrinogen is a clotting factor that can reflect coagulation activity, but it is not used to monitor warfarin therapy. It is more relevant in conditions like DIC or liver disease, not for warfarin dose adjustments.

B. aPTT: Activated partial thromboplastin time (aPTT) is used to monitor heparin therapy. Warfarin, which affects the extrinsic pathway of coagulation, does not significantly impact aPTT levels.

C. INR: The international normalized ratio (INR) is the standard test used to monitor warfarin therapy. It reflects the effect of warfarin on prothrombin time and guides safe and effective dosing to maintain therapeutic anticoagulation.

D. Platelet count: While platelet count helps evaluate bleeding risk and detect thrombocytopenia, it is not used to guide warfarin dosing. Warfarin works by inhibiting vitamin K–dependent clotting factors, not by affecting platelet production.

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A nurse is caring for a client who is obese. The client is crying and states, "Everyone is staring at me because of my weight." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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